- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as... data from Epic, QS1, Oracle Cloud, 340B claims data , and wholesaler purchase feeds. + ... Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data analysis, reporting, and automation to improve pharmacy financial… more
- Novant Health (NC)
- … Analyst II. The Pharmacy Business Analyst II use data to improve claims reconciliation, billing processes and inventory management processes for ... Job Summary Drive Pharmacy Innovation as a Pharmacy Business Analyst II! Are you ready...II! Are you ready to combine your passion for pharmacy and data to improve healthcare outcomes?… more
- UTMB Health (Galveston, TX)
- Analyst , 340B Program - Contract Pharmacy **Galveston, Texas, United States** **New** Allied Health UTMB Health Requisition # 2504846 **_REQUIRED EDUCATION / ... degree in business, accounting or finance_** + **_3 years' experience with pharmacy 340B Drug Pricing Program_** + **_3 years' experience in business and… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst III is a...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …+ Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst II collaborates with...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- The Cigna Group (Bloomfield, CT)
- …policies, standards, and procedures. + Query and analyze large-scale healthcare datasets (eg, claims , pharmacy , patient data ) using SQL and other tools. ... the Role** We are seeking a detail-oriented and strategic Data Governance & Validation Analyst to join...roles. + 3+ years of experience working with healthcare data , including claims , pharmacy , and… more
- Medical Mutual of Ohio (OH)
- …to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data . + Advanced knowledge of NCQA ... software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data . +...+ 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses… more
- MVP Health Care (Rochester, NY)
- …root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity ... thinking and continuous improvement. To achieve this, we're looking for a Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you… more
- Prime Therapeutics (Denver, CO)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and ... drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing...+ Develop financial pricing models to monitor performance against pharmacy claims data and identify… more
- Centene Corporation (Lansing, MI)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting + Extract, load, model, ... a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects… more
- WMCHealth (Valhalla, NY)
- …accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation ... contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with 340B requirements. + + Assess cost-saving… more
- Prime Therapeutics (St. Paul, MN)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to ... including data extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify and mitigate financial… more
- Centene Corporation (Sacramento, CA)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting. + Extract, load, model, ... flexibility. Remote Available CA. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex ...data needs of the business unit. Handle complex data projects and acts as a lead for other… more
- Prime Therapeutics (Boise, ID)
- …Claim Technical Analyst - JUDI Ops Team - Remote **Job Description** The Claims Technical Analyst is responsible for serving as the claims analysis ... assigned operations team. This role is responsible for developing queries to retrieve data and performing intermediate level and some complex client, member and … more
- Elevance Health (Mason, OH)
- …decisions. **How You Will Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy , lab results, and authorizations to identify ... **Actuarial Analyst III** **Location:** This role requires associates to...businesses. We are pioneering the use of weekly trend data , predictive analytics, and multi-source health indicators to anticipate… more
- Idaho Division of Human Resources (Boise, ID)
- …Insurance, pharmacy benefits, or financial industry regulation. + Research, data analysis, and statistical techniques. + Analysis and explanation of complex ... Insurance Market Analyst Posting Begin Date: 2025/09/05 Posting End Date:...protecting Idahoans and an understanding of the insurance and pharmacy benefit industries, as well as excellent analysis and… more
- CVS Health (Oklahoma City, OK)
- …Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...You will work with a collaborative, close-knit team on pharmacy and member specific claims data… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Responsibilities including but not limited to:** + Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR ... supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality analyses that...data testing, the quality and accuracy of BILHPN's claims and EMR data . Responsible for developing… more
- Norstella (Salt Lake City, UT)
- …to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results,… more
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